Needs Analysis for Change Assignment Paper

Needs Analysis for Change Assignment Paper

Needs Analysis for Change Assignment Paper

            All organizations need to embrace change to keep up with the new advances that transform various ways of operations. In healthcare systems, change has been the most significant way these organizations use to identify new styles of meeting patient outcomes (Sartini et al., 2022). However, before any assigned or approved the change, the organization needs to carry out the need analysis to show some of the changes required in an institution. As a result, the purpose of this assignment is to carry out a need analysis for change at Katherine Shaw Bethea Hospital located in Lee County.

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The economic Issue

            In Lee County there is a rising need to have an urgent care facility that accepts all insurances. The county’s poverty rate of 20% shows that the community is facing an increasing Medicaid population that would require an urgent care facility that accepts most of the insurance (Lee County, 2018). As of now, the only urgent care in the area is a private facility that does not accept Medicaid. The patients who visit the facility for non-emergent needs or lack primary doctors are forced to seek attention from the emergency department. This increases the population of patients in the emergency department for non-emergent patients.

Rationale

            Developing an urgent care facility that accepts all insurances in Lee County will significantly impact the quality-of-service delivery in rural areas. In most cases, rural areas are left out in the planned integration process, leaving them in dilapidated conditions that are unable to meet the required healthcare outcome. Again, the increasing Medicaid population in rural areas is significant and requires better healthcare attention because of their vulnerability. All these are important indicators of the need to construct urgent healthcare facilities in the county.

             KSB Hospital is not alone in treating an area with a large population living in poverty, but one difference is that there is not an urgent care facility that accepts Medicaid, which is the insurance most people in poverty have in Lee County (Lee County, 2018). The main objective of an ED in Lee County is to treat emergency and urgent cases. Still, due to malfunctioning health services in communities, there is a rise in the improper use of emergency departments. The Medicaid population depends on the program as the common payer source for ER visits. These visits are higher in rural and urban communities (Lee County, 2018). The primary insurance of the Medicaid is not accepted in the available urgent care facilities leading to overcrowding in ED.

Economic Disparities

            The population in rural areas is generally aged, implying that they heavily depend on Medicaid insurance for emergent and non-emergent care. This population also constitutes many people who depend on pensions and children working in urban areas. Therefore, the overall income of the population in rural areas is not reliable and strong as compared to the situation in urban centers (Hess et al., 2018). This difference implies that the population in rural areas tends to use the available insurance to obtain any form of healthcare service. However, the lack of urgent care facilities that accept a wide range of insurances forces them to receive these services from the ED, which results in overcrowding (Sartini et al., 2022). Overcrowding affects the quality of care, increases the risk of patients having adverse outcomes, and increases the risk of errors.

            The increase in cases of overcrowding in ED does not only affect the quality but also increases the chances of nurse burnout. In most cases, the population of nurses working in rural healthcare communities is few because of the comparatively low patient population recorded daily (Cho & Steege, 2021). However, the reduced number of nurses is always commensurate with the population of patients resulting in the required nurse-to-patient ratio. In the case of KSB, nurses in the emergency department will be forced to work for longer hours and attend to many patients to ease the pressure on the department. This situation affects the workout of the nurses and reduces their job satisfaction. Therefore, the current situation at KSB affects not only patients but also nurses, who are the main pillar of service delivery in rural healthcare centers.

Potential Change

            The desired change is to have an additional urgent care facility that will accept the insurance that many people have within the community. The current influx of patients in the ED results in overcrowding because they do not have primary doctors that can attend to their non-emergent issues at their homes. The development of a new urgent care facility would come at a high financial cost but with a better result for the community (Sartini et al., 2022). For instance, adding an urgent care facility would reduce overcrowding as many patients can use their insurance to access healthcare services. This facility would give patients more than one option of receiving better healthcare services.

Outcome and Opportunities for Growth

            The current proposed plan at KSB hospital is to build an urgent care facility. This process will have a financial impact on the hospital, but the outcome would solve the current problem at the facility (Sartini et al., 2022). Developing the plan to build this facility will open up the clinic to more patients as they can receive quality care. The outcome of the new facility will be seen in the increased quality and low workload among nurses.

Conclusion    

            A significant increase in the number of patients in the ED leads to overcrowding all over the county. This pressure on the ED would affect healthcare quality and increase nurse workloads. Implementing an urgent care facility that treats patients of all financial backgrounds is necessary and will positively impact the community.

References

Cho, H., & Steege, L. M. (2021). Nurse fatigue and nurse, patient safety, and organizational outcomes: A systematic review. Western Journal of Nursing Research, 43(12), 1157-1168. https://doi.org/10.1177/0193945921990892

Hess, J., Miller, B., Paiva, W., Stroup, J., & Fong, E. (2018, March 15). Comparison of emergency room utilization for non-emergent purposes before and after the implementation of the affordable care act. OSU Center for Health Sciences Research Profiles. Retrieved from https://scholars.okstate.edu/en/publications/comparison-of-emergency-room-utilization-for-non-emergent-purpose

Lee County Community Health Needs Assessment (CHNA) report. (2018). Retrieved from http://www.leecountyhd.org/files/3916/6128/0584/LEE_CO_CHNA_Report__Oct_2018_web.pdf

Sartini, M., Carbone, A., Demartini, A., Giribone, L., Oliva, M., Spagnolo, A. M., Cremonesi, P., Canale, F., & Cristina, M. L. (2022). Overcrowding in emergency department: Causes, consequences, and Solutions—A narrative review. Healthcare, 10(9), 1625. https://doi-org.library.capella.edu/10.3390/healthcare10091625

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Complete a systematic evaluation of a unit, facility, or organization with which you are familiar, in an attempt to identify the need to address the economic health care issue.

Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.

Background and Context
As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.

Instructions
Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.

Overall, you will be assessed on the following criteria:

Summarize your chosen economic issue and its impact on your work, organization, colleagues, and community.
Reiterate your rationale for pursuing this issue, as well as the gap contributing to it that you identified in your previous assessment.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Use at least one piece of evidence to support this disparity (public health data, aggregated data from an organization, or other scholarly resources).
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
For example, if your implementation plan includes the need for increased staffing, you might want to research errors or patient falls that occurred as a result of high patient and low staff ratio in the literature.
Use at least four evidence-based or scholarly sources that are relevant to your chosen topic to support your explanation.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Outcomes and opportunities for growth should focus on economic considerations.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Additional Requirements
Length of Submission: 3–5 double-spaced pages.
Number of References: Cite at least four sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Titles, headings, resources, and citations are formatted according to the current APA style.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Summarize the chosen economic issue and its impact on your work, organization, colleagues, and community.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.